@layout("/common/_form.html",{js:["/assets/order/order_edit.js"]}){

<form class="layui-form" id="orderForm" lay-filter="orderForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" type="hidden"/>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">订单编号</label>
                        <div class="layui-input-block">
                            <input readonly id="orderNum" name="orderNum" placeholder="请输入订单编号" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">开始时间</label>
                        <div class="layui-input-block">
                            <input readonly id="starTime" name="starTime" placeholder="请输入开始时间" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">结束时间</label>
                        <div class="layui-input-block">
                            <input readonly id="endTime" name="endTime" placeholder="请输入结束时间" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">时长(月)</label>
                        <div class="layui-input-block">
                            <input readonly id="howlong" name="howlong" placeholder="请输入时长" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">仓格名称</label>
                        <div class="layui-input-block">
                            <input readonly id="cgStr" name="cgStr" placeholder="请输入仓格名称" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">支付状态</label>
                        <div class="layui-input-block">
                            <input readonly id="paystate" name="paystate" placeholder="请输入支付状态" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">订单状态</label>
                        <div class="layui-input-block">
                            <input readonly id="state" name="state" placeholder="请输入订单状态" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">创建时间</label>
                        <div class="layui-input-block">
                            <input readonly id="createTime" name="createTime" placeholder="请输入创建时间" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">支付时间</label>
                        <div class="layui-input-block">
                            <input readonly id="payTime" name="payTime" placeholder="请输入支付时间" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                </div>
            </div>
        </div>
        
        
        <div class="layui-card">
            <div class="layui-card-header">物品信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">储存物品</label>
                        <div class="layui-input-block">
                            <input readonly id="wp" name="wp" placeholder="请输入储存物品" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                </div>
            </div>
        </div>
        
        
        
        
        <div class="layui-card">
            <div class="layui-card-header">联系人信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                	<div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">姓名</label>
                        <div class="layui-input-block">
                            <input readonly id="username" name="username" placeholder="请输入姓名" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">联系方式</label>
                        <div class="layui-input-block">
                            <input readonly id="phone" name="phone" placeholder="请输入联系方式" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">身份证</label>
                        <div class="layui-input-block">
                            <input readonly id="idCard" name="idCard" placeholder="请输入身份证" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                </div>
            </div>
        </div>
        
        <div class="layui-card">
            <div class="layui-card-header">支付信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">优惠券ID</label>
                        <div class="layui-input-block">
                            <input readonly id="qid" name="qid" placeholder="未使用优惠券" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">优惠后</label>
                        <div class="layui-input-block">
                            <input readonly id="yhje" name="yhje" placeholder="未使用优惠券" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">原价</label>
                        <div class="layui-input-block">
                            <input readonly id="yuanjia" name="yuanjia" placeholder="请输入原价" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">实付</label>
                        <div class="layui-input-block">
                            <input readonly id="shifu" name="shifu" placeholder="请输入实付" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                </div>
            </div>
        </div>
        
        
    </div>

</form>

@}